The Psychiatric Significance Of Incontinence As A Major Problem Of The Aged Persons

Funom Makama By Funom Makama, 18th Mar 2014 | Follow this author | RSS Feed
Posted in Wikinut>Health>General Health>Elderly & Home Care

Incontinence is a urinary and fecal difficulty. Almost 10% of the world’s elderly persons have difficulties with incontinence. Although, many professionals and the general public hold on to the wrong belief that incontinence is incurable, it has been realized that some management strategies have shown that incontinence can be treated. There are two types of incontinence, Urinary incontinence and fecal incontinence.

Urinary Incontinence

Urinary incontinence can be precipitated by illness, unaccustomed immobilization and delirium or urinary tract infection. Most women develop urinary incontinence as a result of menopausal changes. Urinary incontinence has been classified into four mechanisms. And of the four, more than one may co-exist in a patient.

The classification is as follows:
Stress incontinence: This is due to loss of small amount of urine while laughing, coughing or doing some exercise.
Urge incontinence: This occurs in larger quantity as a result of the elderly person’s inability to inhibit bladder contractions and so delay voiding.
Overflow incontinence: This results from pressure in an over extended bladder.
Functional incontinence: This occurs when the elderly person has difficulties in reaching a functional toilet on time. Or it may occur as a result of impaired physical or mental function.

It has been realized that certain drugs cause incontinence. Such drugs include, psychotropic drugs, diuretic drugs, anticholinergic drugs and adrenergic agonists and blockers. Other causes of incontinence include mental status, glucosuria and bacteriuria.

Treatment Of Persistent Urinary Incontinence
This includes behavioural pharmacological surgical approached along with therapeutic and prosthetic devices and environmental manipulation. Biofeedback is used for the behavioural approach which has been found to be successful with stress and urge incontinence. Bladder training and fixed toileting schedules have also been successful with functional incontinence.

Fecal Incontinence

Fecal incontinence in the elderly person may appear as a later feature of dementia or other brain damage. But care should be taken to properly diagnose this disorder. Drugs often contribute to fecal incontinence. As a result, elderly persons are urged to desist from self-prescribed drugs, most especially, as many elderly persons in the developing regions believe they used such drugs before; even if it is for another ailment. If fecal incontinence persists, the help of a geriatrician should be sought.

For more on psychiatric cases, situations and disorders, click on the following links:
1. Alcoholism And Psychosomatic Disorders: Psychiatric Significance, Etiology, Clinical Presentations And Treatment
2. Drug Dependence: Psychiatric Significance, Clinical Manifestations And Treatment
3. Hysterical Neurosis And Anorexia Nervosa: Psychiatric Significance Of Their Clinical Manifestations
4. Organic Psychosis: Etiology, Clinical Manifestations, Diagnosis And Treatment Of Delirium And Dementia

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author avatar wonder
3rd Apr 2014 (#)

A useful information, thanks.

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author avatar Funom Makama
3rd Apr 2014 (#)

Thanks a lot wonder

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author avatar Fern Mc Costigan
4th Apr 2014 (#)

Very interesting post with useful facts Dr Makama

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author avatar writestuff
4th Apr 2014 (#)

Thanks for this informative post.

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author avatar Funom Makama
14th Apr 2014 (#)

Thanks a lot my distinguished colleagues

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author avatar n.c.radomes
8th May 2014 (#)

This serves as a bible for aged person like me. Thanks for sharing. Keep up!

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author avatar Funom Makama
7th Jun 2014 (#)

thanks a lot n.c radomes

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